ORIGINAL RESEARCH article
Front. Med.
Sec. Family Medicine and Primary Care
This article is part of the Research TopicFractures and Deformities of the Extremities in Children and Adolescents: Etiology, Diagnosis, and Treatment: 2025View all 22 articles
Clinical Impact of Child Life Intervention Combined with Comprehensive Nutrition Intervention on the Pain Management, Nutritional Status and Treatment Compliance in School-age Children with Limb Fractures
Provisionally accepted
- the Second Hospital of Jiaxing City, Jiaxing, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Background: Fractures of the limbs are a common health problem among school-aged children, which can cause severe pain and emotional issues. Traditional care may not fully meet the comprehensive needs of these children. Therefore, exploring more comprehensive intervention measures holds significant clinical significance. Objective: This research aimed to clarify the clinical effect of Child Life intervention combined with a comprehensive nutrition intervention on pain management, nutritional status, and treatment compliance of school-age children with limb fractures. Methods: The 100 school-age children with limb fractures treated in our hospital from March 2024 to September 2024 were selected and randomly divided into a control group (CG) and an observation group (OG) using a random number table method, with 50 cases each. The CG received a conventional nursing intervention. The OG received Child Life intervention and comprehensive nutrition intervention on the basis of CG. The pain scores, serum cortisol level, treatment compliance, and nutritional status in both groups before and after surgery were compared. Results: At 12 h and 24 h after surgery, FLACC scores in OG were lower than those in CG (P < 0.001, t = 5.042; P < 0.001, t = 4.836). At 12 h and 24 h after surgery, serum cortisol level in OG exhibited depletion relative to that in CG (P < 0.001, t = 6.049; P < 0.001, t = 11.662). After intervention, the treatment compliance in the OG was higher than that in the CG, indicating statistical significance (P = 0.037, χ2 = 4.332; P = 0.017, χ2 = 5.741; P = 0.025, χ2 = 5.005). At 24 h after surgery, Lc, HGB, PA, and ALB levels in OG were higher than those in CG, indicating statistical significance (P < 0.01, t = 2.717; P < 0.001, t = 3.433; P < 0.001, t = 5.023; P < 0.001, t = 4.230). Conclusion: A combination of Child life intervention and comprehensive nutrition intervention can enhance the pain management effect in school-age children with limb fractures, attenuate their pain level, ameliorate their perioperative stress status and improve their postoperative nutritional status, accelerating their recovery.
Keywords: Child Life intervention, comprehensive nutrition intervention, Limb fractures, Nutritional Status, Pain Management
Received: 03 Jul 2025; Accepted: 01 Dec 2025.
Copyright: © 2025 Zhang, Jin, Weng, Pan, Dong, Zhao and Sheng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Fangqin Jin
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.